MEDICARE: KENNETH STROBEL P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	006769	NY

General Provider Information

NPI Number	:	1508992421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH STROBEL P.A.

Provider Business Mailing Address
First Line	:	833 NORTHERN BLVD STE 160
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5322
Country	:	US
Telephone Number	:	516-498-8400
Fax Number	:	516-498-8404

Provider Business Practice Location Address
First Line	:	833 NORTHERN BLVD STE 160
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5322
Country	:	US
Telephone Number	:	516-498-8400
Fax Number	:	516-498-8404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	02/26/2026

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Directions to “ KENNETH STROBEL P.A.” Practice Location

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